Musi waJuly 27, 2014 yekutanga munyaya dzezviitiko dzinoti, "EMS xChange", Yakaitika munzvimbo duku Ortigas Centre, Pasig City.

Ichi chiitiko chakarongeka uye chakagadzwa naVaRuel Kapunan we Pilipinas 911, zvakavanzika amburenzi uye kambani yekufambisa basa yekukurumidzira, uye Dr. Carlos Primero D. Gundran, MD, chiremba weEmergency uye Anobatana naProfesa University of the Philippines College of Medicine uye iye zvino achiita pa Philippine General Hospital.
Chiitiko chacho chakashanda semusangano wekutsinhanisa ruzivo rwehutano hwehupenyu hunosangana ne First Responders uye EMT uye vanochirapa vanachiremba uye nyanzvi dzezvokurapa. Vatori vechikamu uye vamiririri vaisanganisira vamiririri vemakambani emakambani emakambani, Barangay uye City based rescue groups, Volunteer / NGO Moto uye ponesa mapoka, EMT kudzidzisa zvikoro, uye kuchirapa vanachiremba avo vakashanda seVadzidzisi veMusoro (SME) pamatambudziko akaiswa. Pfungwa iyi yakauya pashure pekunge VaKapunan naDkt Gundran vakurukura matambudziko uye nhau dzinotarisana nevatarisi vechipatara musango uye yakaratidza kudiwa kwevose vanobatana kuti vave nenzvimbo yekugovera zvavakawana uye mazano ekuti vaite sei kubudirira.

Mumwedzi mishomanana kubva pakukurukurirana kwavo kwekutanga chiitiko chakarongeka uye mikumbiro yakatumirwa kuburikidza nehuwandu hwemagariro evanhu uye maforamu epaIndaneti. Mukugadzirisa kusununguka nekusununguka kwekuparadzaniswa kwemashoko ega ye "mitemo yeimba"Yakasimbiswa kuti ivimbise chinangwa, kusava nehanya nemaitiro akataurwa uye kugadzira chidzidzo uye kufambira mberi, kusingabatsiri.
Panguva yemutambo wechiitiko chacho, nyaya dzevatori vechikamu dzakapiwa kune vateereri uye mapoka emaMDC. Mhosva dzacho dzakazoongororwa uye a kukurukurirana kushingaira yakatevera pa mitemo, nzira, uye unyanzvi uye zvishandiso zvinoshandiswa kugadzirisa nyaya yacho.
Ichi ndicho chimwe chezvinangwa zvakakosha zvechiitiko ichi sezvo kusati kwagara kuchipatara muPhilippines kunonyanya kusina kunzwisisa kwakakwana kwechiremba zvinhu zvekuongorora nekurapa kwevarwere. Kuwanda kwekukurumidzira kwakagamuchirwa neboka reku ambulensi rinogona kunge rakanganisa zvakadai sezviitiko zvemotokari, kuparwa kwemhosva kana kukuvadzwa kwechisimba, kana kuti zvinowanzoitika mumhuri zvinokurumidza.
Zvisinei, avo vanoona nezvekukurumidzira uye vashandi vezvikwata zvekugadzirira vanofanirwawo kuva neruzivo uye unyanzvi kuti vaongorore zvakanaka nekutarisa zvirwere zvinokurumidzira sezvavari ivo vekutanga munzvimbo yekudaidzwa kwekukurumidzira uye vanofanirwa kuita sebhiriji pakati pekutanga kutora pfungwa uye kuongorora chiremba uye zvipatara zvakakura.
Sezvo nenyaya imwe neimwe yakarongerwa mamwe matambudziko uye zvipingamupinyi izvo vaparidzi vekukurumidzira vanotarisana vakaonekwa. Izvi zvinoratidzira huri hwehutano hwepamberi hwehutano hwehutano muPhilippines huchiri hukuru zvikuru muhutachiwana.
Chimwe chezvipingamupinyi zvakanyanya kumunda wekuchengetwa kwechipatara muPhilippines ndekushayikwa kwemaitiro evhudziro emitemo inogona kuteverwa semuviri unogamuchirwa wezivo uye inoratidza zvishoma zvido zveunhu anoda kupinda mundima iyi . Izvi zvichavawo nechokwadi chokuti basa remupi weEEMS rinogonawo kushandiswa uye rakagadzirwa kuva basa rakanaka.
Sekunyorwa kwechipiri ichi kune mushumo unofungidzirwa pane muFhilippine Congress neSeneti iyo inotarisira kupedzerwa semutemo weEEMS. Mukati iyo Dhipatimendi reZvipatara rakabudisa Mutungamiri Wakaitwa (2014-007) iyo inopa Mutemo weNyika pamusoro pekugadzwa kwePre-Hospital Emergency Medical Service System.
Dr Gundran akagovera izvi nevateereri pamwe nehuwandu hwemutemo weEEMS kuti uwedzere mutemo. Akagovanawo nevateereri masangano nemasangano ayo achabatsira mukudzidzira tsika ye EMS pano muPhilippines.
Kushayikwa kwemaitiro emarudzi ose emitambo kwakaratidzawo chipingamupinyi chakaiswa mune imwe nyaya iyo yakagamuchirwa neIntident Command System (ICS). Nyika yePhilippines iri nyika inotambura nenhamo yakave nemakore ekuwana Mass Casualty Incidents (MCI) asi ichiri kushandiswa kweCI sechigamuchirwa chekutarisana nezviitiko zvakadaro.
Kunyange zvazvo vazhinji vevatori vechikamu vakadzidziswa kubata maCMIs uye ICS inoshandiswa kubudirira mune zvekugara kwechiri ichi isati yakanyanyisa. Izvi zvinoita kuti mhirizhonga yemamiriro ezvinhu iwedzere sevapinduri vanofanira kutarisana nezvinokosha zvakakosha, miganhu yezvematongerwe enyika, hupenyu hwehutano hwakashata uye humwe humwe humwe hunovhiringidza kana kuvadzivisa kuita basa ravo.
Sezvo nyaya yekupedzisira yakapiwa kune vateereri chimwe chipingamupinyi chinosangana nevanopindura mumunda ndeye kushaya kubvuma kubva kuna vanachiremba uye vanamukoti muzvipatara zvekukosha uye kugona kweboka reEMS rinoendesa murwere kune yavo chipinda chekukurumidzira.
Nekuwedzera kwekuita uye kuonekwa kweEEM muFhilippines sangano yekudzidziswa uye dzidzo yakapiwa vashandi vayo ichiri kunyanya kuparadzaniswa kana kuitwa mumasoro asina kutarisirwa kubva kune rimwe dare rinodzora. Izvi zvinoguma kune vapindura mumunda vasingazivi kukwana kana kukwanisa kweumwe anopindura kubva kune rimwe boka kana chikwata chekudzidzisa.
Zvizhinji zvezvikoro zvekudzidzisa zvinomira kure nemayunivhesiti uye makoroji uko vanachiremba vakadzidziswa uye zvichidaro zvinowanzoitika mune zvechiremba vanachiremba vakadzidza kusava nechokwadi chekudzidziswa kwevanopindura uye zvinozove nekodzero dzavo mumunda.
Chimwe chekuwedzera chekufunga nezvacho ndechekuti vazhinji vanopindura zvekurapa vari Barangay kana Guta rakavakirwa chete vane izvo zvakakosha zve rubatsiro rwekutanga kurovedza uye midziyo uye kazhinji kazhinji mhinduro dzefoni dzekukurumidzira dzinozoguma nemamiriro ezvinhu e "Load-and-Go" mamiriro aine kuongororwa kwekutarisirwa uye kurwara kwemurwere. Muzviitiko zvakawanda ambulensi yakavakirwa mukati menzvimbo yehurumende yeyunivhesiti yekupinda munjodzi inoshandiswawo senge mota yekushandisa kazhinji kazhinji kupfuura ambulensi chaiyo yekuwedzera kubatsira kwayo kwenzvimbo dzine mabhajeti madiki uye zviwanikwa zvemari.
Izvi zvinoita kuti pave nedzimba dzakawanda dzekukurumidzira vanachiremba uye vanamukoti pakuva nehanya zvisina kunaka kune vaparidzi vanoparidzirwa uye vakagadzira kuwedzera kwekwanisi uye unyanzvi hwevaya vanonyatsokwanisa kupindura avo vanopindura.
Mune zvimwe zvipatara izvi zvakaguma kune avo vanopomerwa vachiitwa "kutora" kusvikira murwere kana murindi wemurwere achisvika kana kusvikira mapepa ekufambisa akazadzirwa zvakanaka, akagamuchirwa uye asayinwa nechiremera chekusunungurwa kwechipatara.
Imwe mumiririri wekambani yega ambulance inoshandisa chipatara chikuru chepamusoro muguta iri yakaratidza kuti EMS uye Rescue Organizations vanofanira kurongedza nzvimbo dzezvipatara munharaunda yavo pamwe chete nezvirongwa zvezvipatara zvakakosha kuitira kuti vaone chipatara chakakodzera zvakakwana kuti kutakura varwere vavo.
Akaramba achikurudzira kuti boka rimwe nerimwe rivakane hukama nezvipatara izvi, kunyanya vashandi vavo vekukurumidzira uye vanachiremba, kuitira kuti vagone kuzivikanwa nezvekukosha kwavo uye unyanzvi mukupindura kune zvinoitika uye kutarisira varwere vasati vauya muimba yepamhanho. Akatsanangurawo tsika yake yekambani yekuendesa vadzidzi vavo se-ye-vadzidzisi vebasa (OJTs) kune chipatara chevarwere kuitira kuti vazive nehurongwa hwehupatara uye hutano kuitira kuti ihwo huve humwe humwe hwaro hwezivo pavanoshandiswa mumunda.
Chiitiko ichi chakapedzwa neruzivo uye nhau dzakagoverwa pakati pevakasangana. Chiitiko chacho chakashandawo senzira yekuti vatori vechikamu vavake kuwirirana uye hukama nevanonamata navo uye kuti vazikanane mumunda.
Nehupfumi hwePhilippines uye huwandu hwevanhu vose izvo zvinoda uye chido chekufambisa zvipatara zvisina kufanira zvishoma nezvishoma uye zvechokwadi kuva chinhu chinokosha zvikuru. Ichi chiitiko chinotarisira kugadzira kubatana uye kujekesa mukuchengetedzwa kwechipatara chePat-hospital muPhilippine uye zvichitarisira kutarisira kubatana uye kubatana pakati peEmergency Responders umo vakanyatsotsanangura mabasa uye kukosha kweboka rimwe nerimwe rinobatanidzwa.

Benedict "Dinky" de Borja ave akazvipira Firefighter + Mishonga yePateros Filipino-Chinese Volunteer Moto uye Kununura Brigade kwemakore mashanu apfuura. Anobatsira Dr. matanhatu